Dental fillings and mucosal issues?
(1) My gums have been receding again recently, and there are small gaps between my gums and the areas where I had fillings.
However, I'm not sure how to clean them properly, so I end up using my fingernails to scrape them after brushing my teeth.
But it doesn't really get cleaned well.
What should I do?
(2) This week, after brushing my teeth, I notice a white, sticky membrane appearing about ten minutes later.
It feels like mucus and sticks to my fingers when I touch it.
Sometimes it happens, and sometimes it doesn't.
I read online that it could be calculus, but I just saw my dentist this week.
Should I make another appointment?
(3) My gums continue to recede, and I don't know what to do about it.
jue de dan xin, 10~19 year old female. Ask Date: 2016/05/01
Dr. Zeng Guanghui reply Dentistry
1.
Intrinsic atrophy of the gums has resulted in small gaps around the previously filled tooth.
It is important to keep the teeth clean and seek treatment from a periodontist for the gum inflammation issue.
2.
After brushing, the presence of a mucus-like white discharge should raise concerns about potential inflammation of the mucosal epithelial tissue.
It is advisable to consult a dentist for an examination.
3.
Gum recession still requires further diagnosis and treatment from a dentist.
Reply Date: 2016/05/01
More Info
Managing gum recession and mucosal issues after dental work can be quite challenging, especially when you're experiencing symptoms like gum recession, discomfort, and the presence of unusual mucosal secretions. Here’s a comprehensive approach to address your concerns:
1. Understanding Gum Recession and Cleaning Techniques
Gum recession occurs when the gum tissue surrounding the teeth pulls back, exposing more of the tooth or the tooth's root. This can lead to sensitivity, increased risk of decay, and aesthetic concerns. The small gaps you mentioned between your gums and the filling may trap food particles and plaque, making it difficult to maintain oral hygiene.
Cleaning Techniques:
- Gentle Brushing: Use a soft-bristled toothbrush and fluoride toothpaste. Brush gently along the gum line to avoid further irritation.
- Flossing: Instead of using your fingernail, which can cause injury, use dental floss or interdental brushes to clean between your teeth. Flossing can help remove debris that gets trapped in those small gaps.
- Antimicrobial Rinse: Consider using an antimicrobial mouthwash to help reduce bacteria in your mouth and promote gum health.
- Professional Cleaning: Schedule regular dental cleanings. A dental hygienist can clean areas that are hard to reach and provide guidance on proper techniques.
2. Addressing Mucosal Issues
The white, sticky mucosal secretion you described could be a sign of several conditions, including mucosal irritation, oral thrush, or even a reaction to dental materials. It’s important to monitor this symptom closely.
When to Seek Help:
- If the mucosal secretion persists or worsens, or if you experience pain, swelling, or other symptoms, it’s advisable to return to your dentist. They can perform a thorough examination to determine the cause and recommend appropriate treatment.
- If you notice any changes in the texture or color of your gums or if you develop sores, these could be signs of infection or other oral health issues that require immediate attention.
3. Managing Ongoing Gum Recession
Continuous gum recession can be concerning, and it’s essential to address the underlying causes. Factors contributing to gum recession include:
- Periodontal Disease: This is an infection of the gums that can lead to gum recession. Regular dental check-ups can help catch this early.
- Aggressive Brushing: Brushing too hard can wear down gum tissue. Ensure you’re using gentle techniques.
- Genetics: Some individuals are more prone to gum recession due to genetic factors.
- Tobacco Use: Smoking or using tobacco products can exacerbate gum issues.
Preventive Measures:
- Regular Dental Visits: Regular check-ups allow for early detection of gum disease and other oral health issues.
- Lifestyle Changes: If you smoke, consider quitting. A balanced diet rich in vitamins and minerals can also support gum health.
- Consider a Periodontal Evaluation: If recession continues, a periodontist can assess your situation and may recommend treatments such as gum grafting or other surgical options to restore gum tissue.
Conclusion
In summary, managing gum recession and mucosal issues requires a combination of good oral hygiene practices, regular dental visits, and possibly further evaluation by a specialist. It’s crucial to avoid using your fingernails for cleaning, as this can cause more harm than good. Instead, focus on gentle brushing, proper flossing, and seeking professional help when necessary. If symptoms persist, don’t hesitate to consult your dentist again for a thorough evaluation and tailored treatment plan. Your oral health is vital, and addressing these issues promptly can help prevent more significant problems in the future.
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